Individual provider Active NPI

Eric J Hall, PA-C

  • Surgical Physician Assistant
  • Angleton, TX
National Provider Identifier
1467523274
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA04176 Issued in TX
Practice address
146 E Hospital Dr Ste 205
Angleton, TX 77515-4171
Phone
(979) 848-3068
Fax
(979) 849-1423
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA04176 TX Primary

Addresses

Primary practice location

146 E Hospital Dr Ste 205
Angleton, TX 77515-4171

Mailing address

146 E Hospital Dr Ste 205
Angleton, TX 77515-4171
Phone (979) 848-3068

Other identifiers 1

IdentifierTypeStateIssuer
218818701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000576 TX Practitioner - Physician Assistant 9032157185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manjit S Randhawa DO PAGroup PAC ID 7416917539, 3 clinicians

Practice addresses (Care Compare)

1980 E Mulberry St
Angleton, TX 77515-3948
Phone (979) 848-3068

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

Merit-based Incentive Payment System (MIPS)

Final score
91.02 of 100Reported as group
Quality
67.91
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brazoria County Anesthesia P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ehall456804@direct.stlukeshealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1467523274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 E HOSPITAL DR STE 205",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154171",
            "telephone_number": "979-848-3068",
            "fax_number": "979-849-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E HOSPITAL DR STE 205",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154171",
            "telephone_number": "979-848-3068",
            "fax_number": "979-849-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218818701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angleton, TX

Sources for this page

Verify at the official NPI Registry.